ProviderBusinessMailingAddressFaxNumber = '7189562316'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1841386588
QLIMG ASTORIA MED. OFFICE
3175 23RD ST
ASTORIA
NY
111064134
1487608899
FASULI
STAVRULA
G.
3175 23RD ST
ASTORIA
NY
111064134
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